Exhibit 99.3

 

FORM 11

 

NOTICE OF PROPOSED STOCK OPTION GRANT OR AMENDMENT

 

Name of Listed Issuer: Curaleaf Holdings, Inc. (the “Issuer”).

 

Trading Symbol: CURA

 

Date: November 11, 2021

 

1.New Options Granted:

 

Date of Grant: See below table

 

 

 

 

 

 

 

Name of Optionee

 

Position (Director/ Officer/

Employee/ Consultant/ Management Company

 

 

 

 

 

Insider Yes or No?

 

 

 

 

 

No. of Optioned Shares

 

 

 

 

 

 

Exercise Price

 

 

 

 

 

 

 

Expiry Date

 

 

 

 

 

No. of Options Granted in Past 12 Months

Grant Date:  August 30, 2019
9 IndividualsEmployees/OfficersVaried453,806CAD$9.27

10 years from date of hire

 

 

2

Individuals

Employees/OfficersNo146,611 (Restricted Stock Units)N/A

N/A

 

 
Grant Date:  November 22, 2019
107 IndividualsEmployees/Officers/DirectorsVaried712,634CAD$8.2010 years from date of hire 

23

Individuals

Employees/Officers/DirectorsVaried700,307 (Restricted Stock Units)N/AN/A 
Grant Date:  December 10, 2019
1 IndividualOfficerYes551,975CAD$8.0010 years from date of hire 
1 IndividualOfficerYes414,357 (Restricted Stock Units)N/AN/A 

  

FORM 11 – NOTICE OF PROPOSED STOCK OPTION GRANT

OR AMENDMENT

Page 1

 

 
Grant Date:  January 30, 2020

56

Individuals

Employees/Officers/DirectorsVaried5,257,209CAD$13.1910 years from date of hire 
Grant Date:  March 27, 2020

8

Individuals

Employees/OfficersVaried815,988CAD$5.4410 years from date of hire 
4 IndividualsEmployees/OfficersVaried942,122 (Restricted Stock Units)N/AN/A 
Grant Date:  April 2, 2020

5

Individuals

Employees/OfficersNo323,922CAD$4.9410 years from date of hire 
17 IndividualsEmployees/Officers/DirectorsVaried565,292 (Restricted Stock Units)N/AN/A 
Grant Date:  May 20, 2020

2

Individuals

Employees/OfficersVaried587,496CAD$7.9410 years from date of hire 
Grant Date:  August 19, 2020

4

Individuals

Employees/OfficersNo28,928CAD$11.6010 years from date of hire 

1

Individual

OfficerNo227,105 (Restricted Stock Units)N/AN/A 
Grant Date:  August 25, 2020

1

Individual

DirectorYes

17,543

(Restricted Stock Units)

CAD$11.6010 years from date of hire 
Grant Date:  November 20, 2020

4

Individuals

Employees/OfficersNo88,948CAD$12.7710 years from date of hire 

2

Individuals

Employees/OfficersNo58,929 (Restricted Stock Units)N/AN/A 
Grant Date:  December 29, 2020

2

Individuals

Employees/OfficersNo24,230CAD$16.0010 years from date of hire 

2

Individuals

Employees/OfficersNo9,029 (Restricted Stock Units)N/AN/A 

  

FORM 11 – NOTICE OF PROPOSED STOCK OPTION GRANT

OR AMENDMENT

Page 2

 

   

Total Number of Subordinate Voting Shares: 8,845,136 Subordinate Voting Shares underlying Stock Options and 3,081,295 Subordinate Voting Shares underlying restricted stock units.

 

2.Other Presently Outstanding Options:

 

Name of Optionee   No. of Optioned Shares   Exercise Price  Original Date of Grant Expiry Date
Optionee   380,650   0.2300  10/3/2012 10 years
Optionee   490,650   0.2300  10/3/2012 10 years
Optionee   245,325   0.3000  1/29/2013 10 years
Optionee   81,775   0.3000  1/29/2013 10 years
Optionee   230,100   0.1200  5/5/2015 10 years
Optionee   1,097,861   0.2700  8/17/2015 10 years
Optionee   1,270,419   0.2700  8/17/2015 10 years
Optionee   2,700,308   0.1400  3/17/2016 10 years
Optionee   1,797,905   0.1400  3/17/2016 10 years
Optionee   327,100   0.6400  1/1/2017 10 years
Optionee   438,067   0.6400  7/1/2017 10 years
Optionee   899,833   0.6400  7/1/2017 10 years
Optionee   419,883   0.6400  8/7/2017 10 years
Optionee   207,505   0.6400  1/3/2017 10 years
Optionee   59,034   0.6400  8/14/2017 10 years
Optionee   615,667   0.6400  10/2/2017 10 years
Optionee   38,533   0.6400  10/2/2017 10 years
Optionee   109,033   1.0400  1/1/2018 10 years
Optionee   850,314   1.0400  1/1/2018 10 years
Optionee   114,729   11.4500  10/28/2018 10 years
Optionee   2,288,164   11.4500  10/28/2018 10 years
Optionee   4,749   12.2900  3/28/2019 10 years
Optionee   2,849   12.2900  3/28/2019 10 years
Optionee   5,540   12.2900  3/28/2019 10 years
Optionee   31,990   12.2900  3/28/2019 10 years
Optionee   868,010   12.2900  3/28/2019 10 years
Optionee   3,271   12.2900  3/28/2019 10 years
Optionee   4,591   12.2900  3/28/2019 10 years
Optionee   4,907   12.2900  3/28/2019 10 years
Optionee   8,020   12.2900  3/28/2019 10 years
Optionee   16,041   12.2900  3/28/2019 10 years
Optionee   19,945   12.2900  3/28/2019 10 years
Optionee   1,520   12.2900  3/28/2019 10 years
Optionee   5,699   12.2900  3/28/2019 10 years
Optionee   3,166   12.2900  3/28/2019 10 years

 

FORM 11 – NOTICE OF PROPOSED STOCK OPTION GRANT

OR AMENDMENT

Page 3

 

 

Name of Awardee No. of Shares  Grant Price  Original Date of Grant Expiration Date
Holder (RSU) 312,500  0.0000  3/28/2019 N/A
Holder (RSU) 47,870  0.0000  3/28/2019 N/A

 

3.Additional Information

 

 (a)   If shareholder approval was required for the grant of options (including prior approval of a stock option plan), state the date that the shareholder meeting approving the grant was or will be held.

 

Not applicable.

 

 (b)   State the date of the news release announcing the grant of options.

 

Not applicable.

 

 (c)   State the total issued and outstanding share capital at the date of grant or amendment.

 

Subordinate Voting Shares only as of December 31, 2020: 569,831,140

 

Subordinate Voting Shares and the Multiple Voting Shares combined as of December 31, 2020:  663,801,845 (the “Outstanding Shares”)

  

 (d)   State, as a percentage of the issued and outstanding shares of the Issuer indicated in (c) above, the aggregate number of shares that are subject to incentive stock options, including new options, amended options and other presently outstanding options.

 

FORM 11 – NOTICE OF PROPOSED STOCK OPTION GRANT

OR AMENDMENT

Page 4

 

 

Approximately 3.689% of the Outstanding Shares

 

(e)If the new options are being granted pursuant to a stock option plan, state the number of remaining shares reserved for issuance under the plan.

 

27,000,000

 

(f)If the Issuer has completed a public distribution of its securities within 90 days of the date of grant, state the per share price paid by the public investors.

 

Not applicable.

 

(g)Describe the particulars of any proposed material changes in the affairs of the Issuer.

 

Not applicable.

 

4.Certificate of Compliance

 

The undersigned hereby certifies that:

 

1.The undersigned is a director and/or senior officer of the Issuer and has been duly authorized by a resolution of the board of directors of the Issuer to sign this Certificate of Compliance.

 

2.As of the date hereof there is no material information concerning the Issuer which has not been publicly disclosed.

 

3.The undersigned hereby certifies to the Exchange that the Issuer is in compliance with the requirements of applicable securities legislation (as such term is defined in National Instrument 14-101) and all Exchange Requirements (as defined in CNSX Policy 1).

 

4.All of the information in this Form 11 Notice of Proposed Stock Option Grant or Amendment is true.

  

[signature page follows]

 

FORM 11 – NOTICE OF PROPOSED STOCK OPTION GRANT

OR AMENDMENT

Page 5

 

 

 

Dated: November 11, 2021  
  
 Peter Clateman     
 Name of Director or Senior Officer
  
 (signed) Peter Clateman     
 Signature
  
 Chief Legal Officer     
 Official Capacity

 

FORM 11 – NOTICE OF PROPOSED STOCK OPTION GRANT

OR AMENDMENT

Page 6